Individual
DR. BONNIE JEAN IVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10725 INTERNATIONAL DR, ASD, RANCHO CORDOVA, CA 95670-7967
(916) 631-2561
(916) 631-2553
Mailing address
KAISER PERMANENTE AUTISM SPECTRUM DISORDERS CENTER, 10725 INTERNATIONAL DRIVE, RANCHO CORDOVA, CA 95670
(916) 631-2561
(916) 631-2553
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
21391
CA
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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